This annual statement will be generated each year in January in accordance with the requirements of The Health and Social Care Act 2008 Code of Practice on the prevention and control of infections and related guidance. It summarises:
- Details of any risk assessments undertaken for prevention and control of infection
- Details of staff training
- Any review and update of policies, procedures and guidelines
Infection Prevention and Control (IPC) Lead
Fleet Medical Centre has two Leads for Infection Prevention and Control: James Perrin (Practice Director) and Emma Shurben (Nurse Manager)
Emma Shurben has attended an IPC Lead training update September 2019 and keeps updated on infection prevention practice.
Infection transmission incidents (Significant Events)
Significant events (which may involve examples of good practice as well as challenging events) are investigated in detail to see what can be learnt and to indicate changes that might lead to future improvements. All significant events are reviewed in the Quality meetings and learning is cascaded to all relevant staff.
In the past year there have been no significant events raised that related to infection control.
Infection Prevention Audit and Actions
The Annual Infection Prevention and Control audit was completed by the Infection Prevention Leads in January 2020
As a result of the audit, the following things have been changed:
- Rechargeable soap dispensers installed early 2020
- Fridge moved from radiator
- Staff reminded about stock control inventory
- Clinical Minor surgery audit by Dr Durasamy 8.9.2019
An audit on hand washing was undertaken in January 2020. Refresher training was completed with all Nursing staff on the 5.2.2020
A Operational audit on Minor Surgery was undertaken by Stephen Wells on behalf of the practice, the audit period covered all minor surgery completed within the practice between the dates of 1st July 2019 and December 31st 2019. Of the 133 patients identified as having minor surgery at fleet Medical Centre between these dates, no infections were reported.
As a result of the audit the practice will not be changing its working practice unless an infection has been highlighted and discussed at future quality meetings and improvements recommended. However see items 1-4 of the clinical minor surgery audit completed in 2019 where some clinical actions were identified.
Fleet Medical Centre plan to undertake the following audits through 2020 and 2021
- Annual Infection Prevention and Control audit
- Minor Surgery outcomes audit
- Antibiotic Prescribing audit
Risk assessments are carried out so that best practice can be established and then followed. In the last year the following risk assessments were carried out / reviewed:
Legionella (Water) Risk Assessment: The practice has conducted/reviewed its water safety risk assessment to ensure that the water supply does not pose a risk to patients, visitors or staff. This is inspected and tested by an independent company each quarter as well as monthly onsite checks.
Immunisation: As a practice we ensure that all of our staff are up to date with their Hepatitis B immunisations and offered any occupational health vaccinations applicable to their role (i.e. MMR, Seasonal Flu). We take part in the National Immunisation campaigns for patients and offer vaccinations in house and via home visits to our patient population.
Privacy curtains are changed at least every 6 months or sooner if visibly soiled or damaged. The practice uses disposable curtains and they are changed every 6 months. The window blinds are deemed to be low risk and therefore do not have a set cleaning regime other than regular vacuuming to prevent build-up of dust. The modesty curtains although handled by clinicians are never handled by patients and clinicians have been reminded to always remove gloves and clean hands after an examination and before touching the curtains. All curtains are regularly reviewed and changed if visibly soiled.
NHS Cleaning Specifications recommend that all toys are cleaned regularly and we therefore provide only wipe able toys in waiting / consultation rooms.
Cleaning specifications, frequencies and cleanliness: We have added a cleaning specification and frequency policy poster in the waiting room to inform our patients of what they can expect in the way of cleanliness. We also have a cleaning specification and frequency policy which our cleaners and staff work to. An assessment of cleanliness is conducted by the cleaning team and logged. This includes all aspects in the surgery including cleanliness of equipment.
Hand washing sinks: The practice has clinical hand washing sinks in every room for staff to use. Some of our sinks do not meet the latest standards as taps are not all ‘hands free’ but we have removed plugs and reminded staff to turn off taps that are not ‘hands free’ with paper towels to keep patients safe. Elbow control taps in rooms where minor surgery takes place.
We have a rolling project to replace our liquid soap dispensers within the practice. All are now wall mounted soap dispensers to ensure cleanliness, and we are now coming to the end of a cycle to replace self-fill containers with only 2 self-fill containers left to be replaced throughout the practice.
All clinical and non-clinical staff receives annual training in infection prevention and control.
- Legionella training completed by James Perrin, Stephen Wells, Lynne Cronin and Jonathan Kimber
Policies relating to Infection Prevention and Control are available to all staff and are reviewed and updated annually and all are amended on an on-going basis as current advice, guidance and legislation changes. Infection Control policies are circulated amongst staff for reading and discussed at meetings. These are all retained on the Practice T drive (Shared drive) under Policies.
It is the responsibility of each individual to be familiar with this Statement and their roles and responsibilities under this.
Responsibility for Review
The Infection Prevention and Control Lead and the Practice Manager are responsible for reviewing and producing the Annual Statement.
James Perrin – Practice Manager
Emma Shurben – Nurse Manager
For and on behalf of the Fleet Medical Centre